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Sevoflurane Preconditioning Confers Neuroprotection via Anti-apoptosis Effects

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Brain Edema XVI

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 121))

Abstract

Neuroprotection against cerebral ischemia afforded by volatile anesthetic preconditioning (APC) has been demonstrated both in vivo and in vitro, yet the underlying mechanism is poorly understood. We previously reported that repeated sevoflurane APC reduced infarct size in rats after focal ischemia. In this study, we investigated whether inhibition of apoptotic signaling cascades contributes to sevoflurane APC-induced neuroprotection. Male Sprague-Dawley rats were exposed to ambient air or 2.4 % sevoflurane for 30 min per day for 4 consecutive days and then subjected to occlusion of the middle cerebral artery (MCAO) for 60 min at 24 h after the last sevoflurane intervention. APC with sevoflurane markedly decreased apoptotic cell death in rat brains, which was accompanied by decreased caspase-3 cleavage and cytochrome c release. The apoptotic suppression was associated with increased ratios of anti-apoptotic Bcl-2 family proteins over pro-apoptotic proteins and with decreased activation of JNK and p53 pathways. Thus, our data suggest that suppression of apoptotic cell death contributes to the neuroprotection against ischemic brain injury conferred by sevoflurane preconditioning.

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Acknowledgments

This work was supported by NSFC 81301123 (to HW), 81171149, 81371306 (to YG), and 81228008 (to JC); the Shanghai Committee of Science and Technology Support Program 14431907002 (to YG); the Doctoral Fund of the Chinese Ministry of Education 20120071110042 (JC); National Institutes of Health/National Institute of Neurological Disorders and Stroke grants NS36736, NS43802, and NS45048 (to JC); and the Natural Science Foundation of Shanghai 14ZR1434600 (to HS).

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Authors and Affiliations

  1. Department of Anesthesiology, Huashan Hospital, Shanghai, China

    Hailian Wang & Qiong Yu

  2. State Key Laboratory of Medical Neurobiology, Institutes of Brain Science, Fudan University, 138 Yixueyuan Road, Shanghai, 200032, China

    Hailian Wang, Qiong Yu, Jun Chen, Feng Zhang & Yanqin Gao

  3. Department of Anesthesiology of Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, China

    Hong Shi

  4. Department of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 15261, USA

    Jun Chen, Feng Zhang & Yanqin Gao

Authors
  1. Hailian Wang
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  2. Hong Shi
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  3. Qiong Yu
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  4. Jun Chen
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  5. Feng Zhang
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  6. Yanqin Gao
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Corresponding authors

Correspondence to Feng Zhang or Yanqin Gao .

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Editors and Affiliations

  1. Department of Anesthesiology, Loma Linda University School of Medicine, Loma Linda, California, USA

    Richard L. Applegate

  2. Department of Neurosurgery, Soochow University The First Affiliated Hospital, Suzhou, Jiangsu, China

    Gang Chen

  3. Department of Neurosurgery, Third Military Medical University Southwest Hospital, Chongqing, China

    Hua Feng

  4. Dept.of Anesthesiology, Physiology and Neurosurgery, Loma Linda University School of Medicine, Loma Linda, California, USA

    John H. Zhang

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© 2016 Springer International Publishing Switzerland

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Wang, H., Shi, H., Yu, Q., Chen, J., Zhang, F., Gao, Y. (2016). Sevoflurane Preconditioning Confers Neuroprotection via Anti-apoptosis Effects. In: Applegate, R., Chen, G., Feng, H., Zhang, J. (eds) Brain Edema XVI. Acta Neurochirurgica Supplement, vol 121. Springer, Cham. https://doi.org/10.1007/978-3-319-18497-5_10

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  • DOI: https://doi.org/10.1007/978-3-319-18497-5_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18496-8

  • Online ISBN: 978-3-319-18497-5

  • eBook Packages: MedicineMedicine (R0)

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